PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.; NPI #1619036548

Contact Information

PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.

ROEMERVILLE RD
RT 390
GREENTOWN, PA 18426

Phone: 570-676-3818
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.

NPI Number 1619036548

LBN Legal business name PROMISED LAND VOLUNTEER FIRE COMPANY AND AMBULANCE CORP., INC.

Authorized official AMY WALCK - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/06/2006

Last updated 04/13/2009 - About 17 years ago

Identifiers

PA	License #	02122
PA	Medicaid	0013968170002

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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